Letter to the editor.

摘要

We read with great interest the article by Pereira et al in the September-October issue of The Journal of Minimally Invasive Gynecology [1] because we have had experience with cervical incompetence cases in which we performed interval cerclage via laparoscopy in our tertiary-care center.Cervical insufficiency classically refers to a type of cervical dysfunction in which painless cervical changes occur in the second trimester and result in recurrent pregnancy loss [2]. Placement of a cerclage at the cervicoisthmic junction seems to be a safe and effective procedure for reducing the incidence of spontaneous pregnancy loss in selected patients [3]. The primary reasons for preferring laparoscopic transab-dominal cervicoisthmic cerclage are to avert laparotomy and the expectation of less morbidity.